Andrew Black, PA - C
NPI 1790011724 · Medical Physician Assistant · Dayton, OH
Andrew Black, PA - C is a Medical Physician Assistant provider in Dayton, OH (NPI 1790011724).
Provider details
- NPI number
- 1790011724
- Entity type
- Individual
- Primary specialty
- Medical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA - C
- Sex
- Male
- Sole proprietor
- No
- License
- 50-002937 (OH)
Practice location
Mailing address
Registry dates
- Enumerated
- 2009-10-27
- Last updated
- 2018-03-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.